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Side-by-side financial comparison of Alignment Healthcare, Inc. (ALHC) and American Express (AXP). Click either name above to swap in a different company.
Alignment Healthcare, Inc. is the larger business by last-quarter revenue ($1.0B vs $18.9M, roughly 53.6× American Express). American Express runs the higher net margin — 15.7% vs -1.1%, a 16.8% gap on every dollar of revenue. On growth, Alignment Healthcare, Inc. posted the faster year-over-year revenue change (44.4% vs 11.4%). Over the past eight quarters, Alignment Healthcare, Inc.'s revenue compounded faster (26.9% CAGR vs -95.6%).
Alignment Healthcare, Inc. is a U.S.-based healthcare provider offering Medicare Advantage plans for seniors. It adopts a value-based care model, partnering with local providers to deliver personalized coordinated medical services, prescription drug coverage and supplemental benefits to members across multiple U.S. states.
American Express Company, together with its subsidiaries, provides charge and credit payment card products, and travel-related services worldwide. The company operates through three segments: Global Consumer Services Group, Global Commercial Services, and Global Merchant and Network Services. Its products and services include payment and financing products; network services; accounts payable expense management products and services; and travel and lifestyle services. The company's products an...
ALHC vs AXP — Head-to-Head
Income Statement — Q4 2025 vs Q1 2026
| Metric | | |
|---|---|---|
| Revenue | $1.0B | $18.9M |
| Net Profit | $-11.0M | $3.0M |
| Gross Margin | — | — |
| Operating Margin | -1.0% | — |
| Net Margin | -1.1% | 15.7% |
| Revenue YoY | 44.4% | 11.4% |
| Net Profit YoY | 64.6% | 15.0% |
| EPS (diluted) | $-0.04 | — |
Green = leading value per metric. Periods may differ when fiscal calendars don't align.
8-Quarter Revenue & Profit Trend
Side-by-side quarterly history. Quarters aligned by calendar period so offset fiscal years line up.
| Q1 26 | — | $18.9M | ||
| Q4 25 | $1.0B | $10.9B | ||
| Q3 25 | $993.7M | $10.4B | ||
| Q2 25 | $1.0B | $10.3B | ||
| Q1 25 | $926.9M | $9.6B | ||
| Q4 24 | $701.2M | $10.0B | ||
| Q3 24 | $692.4M | $9.7B | ||
| Q2 24 | $681.3M | $9.8B |
| Q1 26 | — | $3.0M | ||
| Q4 25 | $-11.0M | $2.5B | ||
| Q3 25 | $3.7M | $2.9B | ||
| Q2 25 | $15.7M | $2.9B | ||
| Q1 25 | $-9.1M | $2.6B | ||
| Q4 24 | $-31.1M | $2.2B | ||
| Q3 24 | $-26.4M | $2.5B | ||
| Q2 24 | $-24.0M | $3.0B |
| Q1 26 | — | — | ||
| Q4 25 | -1.0% | 28.2% | ||
| Q3 25 | 0.8% | 36.7% | ||
| Q2 25 | 2.2% | 34.4% | ||
| Q1 25 | -0.6% | 34.6% | ||
| Q4 24 | -3.2% | 27.7% | ||
| Q3 24 | -2.8% | 33.0% | ||
| Q2 24 | -2.7% | 38.6% |
| Q1 26 | — | 15.7% | ||
| Q4 25 | -1.1% | 22.5% | ||
| Q3 25 | 0.4% | 27.9% | ||
| Q2 25 | 1.5% | 28.0% | ||
| Q1 25 | -1.0% | 26.8% | ||
| Q4 24 | -4.4% | 21.8% | ||
| Q3 24 | -3.8% | 25.8% | ||
| Q2 24 | -3.5% | 30.7% |
| Q1 26 | — | — | ||
| Q4 25 | $-0.04 | $3.52 | ||
| Q3 25 | $0.02 | $4.14 | ||
| Q2 25 | $0.07 | $4.08 | ||
| Q1 25 | $-0.05 | $3.64 | ||
| Q4 24 | $-0.15 | $3.04 | ||
| Q3 24 | $-0.14 | $3.49 | ||
| Q2 24 | $-0.13 | $4.15 |
Balance Sheet & Financial Strength
Snapshot of each company's liquidity, leverage and book value from the latest quarter.
| Metric | | |
|---|---|---|
| Cash + ST InvestmentsLiquidity on hand | $604.2M | — |
| Total DebtLower is stronger | $323.2M | $60.4M |
| Stockholders' EquityBook value | $179.3M | $34.0M |
| Total Assets | $1.1B | $308.9M |
| Debt / EquityLower = less leverage | 1.80× | 1.78× |
8-quarter trend — quarters aligned by calendar period.
| Q1 26 | — | — | ||
| Q4 25 | $604.2M | $742.0M | ||
| Q3 25 | $644.1M | $1.3B | ||
| Q2 25 | $503.8M | $197.0M | ||
| Q1 25 | $479.5M | $261.0M | ||
| Q4 24 | $470.6M | $221.0M | ||
| Q3 24 | $381.0M | $120.0M | ||
| Q2 24 | $363.7M | $188.0M |
| Q1 26 | — | $60.4M | ||
| Q4 25 | $323.2M | $56.4B | ||
| Q3 25 | $322.7M | $57.8B | ||
| Q2 25 | $322.3M | $58.2B | ||
| Q1 25 | $321.9M | $51.2B | ||
| Q4 24 | $321.4M | $49.7B | ||
| Q3 24 | $212.0M | $53.5B | ||
| Q2 24 | $211.7M | $51.5B |
| Q1 26 | — | $34.0M | ||
| Q4 25 | $179.3M | $33.5B | ||
| Q3 25 | $161.9M | $32.4B | ||
| Q2 25 | $141.0M | $32.3B | ||
| Q1 25 | $108.1M | $31.2B | ||
| Q4 24 | $99.9M | $30.3B | ||
| Q3 24 | $114.5M | $29.7B | ||
| Q2 24 | $123.7M | $29.5B |
| Q1 26 | — | $308.9M | ||
| Q4 25 | $1.1B | $300.1B | ||
| Q3 25 | $1.1B | $297.6B | ||
| Q2 25 | $1.0B | $295.6B | ||
| Q1 25 | $895.6M | $282.2B | ||
| Q4 24 | $782.1M | $271.5B | ||
| Q3 24 | $692.3M | $271.0B | ||
| Q2 24 | $716.3M | $272.2B |
| Q1 26 | — | 1.78× | ||
| Q4 25 | 1.80× | 1.68× | ||
| Q3 25 | 1.99× | 1.78× | ||
| Q2 25 | 2.29× | 1.80× | ||
| Q1 25 | 2.98× | 1.64× | ||
| Q4 24 | 3.22× | 1.64× | ||
| Q3 24 | 1.85× | 1.80× | ||
| Q2 24 | 1.71× | 1.74× |
Cash Flow & Capital Efficiency
How much cash each business actually produces after reinvestment. Cash flow is harder to manipulate than net income.
| Metric | | |
|---|---|---|
| Operating Cash FlowLast quarter | $-50.4M | — |
| Free Cash FlowOCF − Capex | $-55.4M | — |
| FCF MarginFCF / Revenue | -5.5% | — |
| Capex IntensityCapex / Revenue | 0.5% | — |
| Cash ConversionOCF / Net Profit | — | — |
| TTM Free Cash FlowTrailing 4 quarters | $113.1M | — |
8-quarter trend — quarters aligned by calendar period.
| Q1 26 | — | — | ||
| Q4 25 | $-50.4M | $3.1B | ||
| Q3 25 | $144.6M | $6.2B | ||
| Q2 25 | $29.1M | $4.4B | ||
| Q1 25 | $16.6M | $4.8B | ||
| Q4 24 | $-8.7M | $5.8B | ||
| Q3 24 | $26.2M | $-1.8B | ||
| Q2 24 | $23.5M | $4.5B |
| Q1 26 | — | — | ||
| Q4 25 | $-55.4M | $2.3B | ||
| Q3 25 | $139.1M | $5.6B | ||
| Q2 25 | $21.1M | $3.7B | ||
| Q1 25 | $8.4M | $4.3B | ||
| Q4 24 | $-18.0M | $5.3B | ||
| Q3 24 | $16.9M | $-2.3B | ||
| Q2 24 | $11.8M | $4.0B |
| Q1 26 | — | — | ||
| Q4 25 | -5.5% | 21.4% | ||
| Q3 25 | 14.0% | 53.6% | ||
| Q2 25 | 2.1% | 36.3% | ||
| Q1 25 | 0.9% | 45.0% | ||
| Q4 24 | -2.6% | 53.1% | ||
| Q3 24 | 2.4% | -23.3% | ||
| Q2 24 | 1.7% | 40.4% |
| Q1 26 | — | — | ||
| Q4 25 | 0.5% | 6.6% | ||
| Q3 25 | 0.6% | 6.3% | ||
| Q2 25 | 0.8% | 6.0% | ||
| Q1 25 | 0.9% | 4.5% | ||
| Q4 24 | 1.3% | 5.0% | ||
| Q3 24 | 1.3% | 4.7% | ||
| Q2 24 | 1.7% | 5.8% |
| Q1 26 | — | — | ||
| Q4 25 | — | 1.25× | ||
| Q3 25 | 38.77× | 2.15× | ||
| Q2 25 | 1.86× | 1.51× | ||
| Q1 25 | — | 1.84× | ||
| Q4 24 | — | 2.66× | ||
| Q3 24 | — | -0.72× | ||
| Q2 24 | — | 1.50× |
Financial Flow Comparison
Revenue → gross profit → operating profit → net profit for each company.
Revenue Breakdown by Segment
ALHC
Segment breakdown not available.
AXP
| Discount revenue | $9.5M | 50% |
| Other | $8.9M | 47% |
| Deposits with banks and other | $512.0K | 3% |
